KEVIN J POTOCSKY, DDS,PC
NPI: 1023617289
· ALLEN PARK, MI 48101
· Dentist
· NPI assigned 10/20/2020
Provider Details
| Authorized Official | BOEDY, JANIS (TREATMENT COORDINATOR) |
| NPI Enumeration Date | 10/20/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
45 |
$929.00 |
| 2022 |
111 |
$2K |
| 2023 |
82 |
$2K |
| 2024 |
59 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
146 |
146 |
$3K |
| D1120 |
Prophylaxis - child |
66 |
66 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
72 |
72 |
$1K |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$385.00 |